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					FIELD
 NO.    FIELD NAME           POSITION   PICTURE LENGTH CMS DESCRIPTION
  1     RECORD ID               1-3       X(3)     3   "HDR"
  2     SUBMITTER ID            4-9       X(6)     6   Unique ID assigned by CMS.
  3     FILE ID                10-19      X(10)   10   Unique ID provided by Submitter.
  4     TRANS DATE             20-27       9(8)    8   Date of file transmission to PDFS.
  5     PROD TEST CERT IND     28-31      X(4)     4   PROD, TEST, or CERT
  6     DDPS SYSTEM DATE       32-39       9(8)    8   CCYYMMDD = DDPS file creation date

  7     DDPS SYSTEM TIME      40-45       9(6)      6     HHMMSS = DDPS file creation time

  8     DDPS REPORT ID        46-50       X(5)      5     DDPS report identifier (Always '01').
                                                          Field is right-padded with spaces.
  9     FILLER                51-512     X(462)    462    SPACES
FIELD
 NO.    FIELD NAME         POSITION PICTURE LENGTH CMS DESCRIPTION
  1     RECORD ID             1-3     X(3)     3   "BHD"
  2     SEQUENCE NO          4-10     9(7)     7   Must start with 0000001
  3     CONTRACT NO          11-15    X(5)     5   Contract Number from submitted batch

  4     PBP ID               16-18     X(3)       3    Plan Benefit Package (PBP) ID from
                                                       submitted batch
  5     DDPS SYSTEM DATE     19-26     9(8)       8    CCYYMMDD = DDPS file creation date

  6     DDPS SYSTEM TIME     27-32     9(6)       6    HHMMSS = DDPS file creation time
  7     DDPS REPORT ID       33-37     X(5)       5    DDPS report identifier (Always '01').
                                                       Field is right-padded with spaces.
  8     FILLER              38-512    X(475)     475   SPACES
FIELD
 NO.    FIELD NAME               POSITION    PICTURE   LENGTH DEFINITION / VALUES
  1     RECORD ID                  1-3         X(3)       3    "ACC", "REJ", or "INF"
  2     SEQUENCE NO                4 - 10      9(7)       7    Must start with 0000001
  3     CLAIM CONTROL NUMBER      11 - 50     X(40)      40    Optional field
  4     HEALTH INSURANCE CLAIM    51 - 70     X(20)      20    Medicare Health Insurance Claim
        NUMBER (HICN)                                          Number or Railroad Retirement
                                                               Board (RRB) number.

  5     CARDHOLDER ID             71 - 90     X(20)      20    Plan identification of the enrollee.
                                                               Assigned by plan.
  6     PATIENT DATE OF BIRTH     91 - 98      9(8)       8    CCYYMMDD
        (DOB)                                                  Optional field
  7     PATIENT GENDER CODE       99 - 99      9(1)       1    1=M
                                                               2=F
  8     DATE OF SERVICE (DOS)    100 - 107     9(8)       8    CCYYMMDD
  9     PAID DATE                108 - 115     9(8)       8    CCYYMMDD. The date the
                                                               plan paid the pharmacy for
                                                               the prescription drug.
                                                               Mandatory for Fallback plans.
                                                               Optional for all other plans.
 10     PRESCRIPTION SERVICE     116 - 127    9(12)      12    The field length of 12 will be
        REFERENCE NO                                           implemented in DDPS on
                                                               January 1, 2011 in anticipation of
                                                               the implementation of the NCPDP
                                                               D.0 standard in 2012 . Field will be
                                                               right justified and filled with 5
                                                               leading zeroes. Applies to all PDEs
                                                               submitted January 1, 2011 and
                                                               after.

 11     FILLER                   128 - 129     X(2)       2    SPACES
 12     PRODUCT SERVICE ID       130 - 148    X(19)      19    Submit 11 digit NDC only. Fill
                                                               the first 11 positions, no
                                                               spaces or hyphens, followed
                                                               by 8 spaces. Format is
                                                               MMMMMDDDDPP.
                                                               DDPS will reject the following
                                                               billing codes for
                                                               compounded legend and/or
                                                               scheduled drugs:
                                                               99999999999, 99999999992,
                                                               99999999993, 99999999994,
                                                               99999999995, and
                                                               99999999996.
13   SERVICE PROVIDER ID   149 - 150   X(2)    2    The type of pharmacy provider
     QUALIFIER                                      identifier used in field 14.
                                                    01 = National Provider Identifier
                                                    (NPI)
                                                    06 = UPIN
                                                    07 = NCPDP Provider ID
                                                    08 = State License
                                                    11 = Federal Tax Number
                                                    99 = Other (Reported Gap Discount
                                                    must = 0)
                                                    Mandatory for standard format.
                                                    For standard format, valid values
                                                    are 01 - NPI or 07 - NCPDP
                                                    Provider ID.
                                                    For non-standard format any of the
                                                    above values are acceptable.
14   SERVICE PROVIDER ID   151 - 165   X(15)   15   When Plans report Service
                                                    Provider ID Qualifier = "99" -
                                                    Other, populate Service
                                                    Provider ID with the default
                                                    value “PAPERCLAIM”
                                                    defined for TrOOP
                                                    Facilitation Contract. When
                                                    Plans report Federal Tax
                                                    Number (TIN), use the
                                                    following format: ex:
                                                    999999999 (do not report
                                                    embedded dashes)
15   FILL NUMBER           166 - 167   9(2)    2    Values = 0 - 99.

16   DISPENSING STATUS     168 - 168   X(1)    1    On PDEs with DOS on or after
                                                    January 1, 2011, must be blank. On
                                                    PDEs with DOS prior to January 1,
                                                    2011, valid values are:
                                                    Blank = Not Specified
                                                    P = Partial Fill
                                                    C = Completion of Partial Fill


17   COMPOUND CODE         169 - 169   9(1)    1    0=Not specified
                                                    1=Not a Compound
                                                    2=Compound
18   DISPENSE AS WRITTEN (DAW)   170 - 170     X(1)     1    0=No Product Selection Indicated
     PRODUCT SELECTION CODE                                  1=Substitution Not Allowed by
                                                             Prescriber
                                                             2=Substitution Allowed - Patient
                                                             Requested Product Dispensed
                                                             3=Substitution Allowed -
                                                             Pharmacist Selected Product
                                                             Dispensed
                                                             4=Substitution Allowed - Generic
                                                             Drug Not in Stock
                                                             5=Substitution Allowed - Brand
                                                             Drug Dispensed as Generic
                                                             6=Override
                                                             7=Substitution Not Allowed -
                                                             Brand Drug Mandated by Law
                                                             8=Substitution Allowed Generic
                                                             Drug Not Available in Marketplace
                                                             9=Other




19   QUANTITY DISPENSED          171 - 180   9(7)V999   10   Number of Units, Grams,
                                                             Milliliters, other. If
                                                             compounded item, total of all
                                                             ingredients will be supplied as
                                                             Quantity Dispensed.
20   FILLER                      181 - 182     X(2)     2    SPACES
21   DAYS SUPPLY                 183 - 185     9(3)     3    0 - 999
22   PRESCRIBER ID QUALIFIER     186 - 187     X(2)     2    The type of prescriber identifier
                                                             used in field 23.
                                                             01 = National Provider Identifier
                                                             06 = UPIN
                                                             08 = State License Number
                                                             12 = Drug Enforcement
                                                             Administration (DEA) number
                                                             Mandatory for standard format.
                                                             Optional when Non-Standard
                                                             Format Code = "B", "C", "P", or
                                                             "X".

23   PRESCRIBER ID               188 - 202    X(15)     15   Mandatory for standard format.
                                                             Mandatory for non-standard format
                                                             (Non-Standard Format Code = "B",
                                                             "C", "P" or "X") when Prescriber
                                                             ID Qualifier is present and valid,
                                                             otherwise optional.
24   DRUG COVERAGE STATUS     203 - 203     X(1)     1   Coverage status of the drug under
     CODE                                                Part D and/or the PBP.
                                                         C = Covered
                                                         E = Supplemental drugs (reported
                                                         by Enhanced Alternative plans
                                                         only)
                                                         O = Over-the-counter drugs
25   ADJUSTMENT DELETION      204 - 204     X(1)     1   A = Adjustment
     CODE                                                D = Deletion
                                                         Blank = Original PDE
26   NON- STANDARD FORMAT     205 - 205     X(1)     1   Format of claims originating in a
     CODE                                                non-standard format.
                                                         B = Beneficiary submitted claim
                                                         C = COB claim
                                                         P = Paper claim from provider
                                                         X = X12 837
                                                         Blank = NCPDP electronic format


27   PRICING EXCEPTION CODE   206 - 206     X(1)     1   M= Medicare as Secondary
                                                         Payer
                                                         O = Out-of-network pharmacy
                                                         (Medicare is Primary)
                                                         Blank = In-network pharmacy
                                                         (Medicare is Primary)
28   CATASTROPHIC COVERAGE    207 - 207     X(1)     1   Optional for PDEs with DOS
     CODE                                                January 1, 2011 and forward.
                                                         Mandatory on PDEs with DOS
                                                         prior to January 1, 2011.
                                                         Valid values are
                                                         A = Attachment Point met on this
                                                         event
                                                         C = Above Attachment Point
                                                         Blank = Attachment Point not met

29   INGREDIENT COST PAID     208 - 215   S9(6)V99   8   Amount the pharmacy is paid
                                                         for the drug itself. Dispensing
                                                         fees or other costs are not
                                                         included in this amount.
30   DISPENSING FEE PAID      216 - 223   S9(6)V99   8   Amount the pharmacy is paid
                                                         for dispensing the medication.
                                                         The fee may be negotiated
                                                         with pharmacies at the plan or
                                                         PBM level. Additional fees
                                                         may be charged for
                                                         compounding/mixing multiple
                                                         drugs. Do not include
                                                         administrative fees. Vaccine
                                                         Administration Fee reported in
                                                         Field 41.
31   TOTAL AMOUNT ATTRIBUTED   224 - 231   S9(6)V99   8   Depending on jurisdiction, sales tax
     TO SALES TAX                                         may be calculated in different ways
                                                          or distributed in multiple NCPDP
                                                          fields. Plans will report the total
                                                          sales tax for the PDE regardless of
                                                          how the tax is calculated or
                                                          reported at point-of-sale.

32   GROSS DRUG COST BELOW     232 - 239   S9(6)V99   8   Reports covered drug cost at or
     OUT-OF-POCKET THRESHOLD                              below the out of pocket threshold.
     (GDCB)                                               Any remaining portion of covered
                                                          drug cost is reported in GDCA.
                                                          Covered drug cost is the sum of
                                                          Ingredient Cost Paid + Dispensing
                                                          Fee Paid + Total Amount
                                                          Attributed to Sales Tax + Vaccine
                                                          Administration Fee.
                                                          For DOS prior to January 1, 2011,
                                                          when the Catastrophic Coverage
                                                          Code = blank, this field equals the
                                                          sum of Ingredient Cost Paid +
                                                          Dispensing Fee Paid + Total
                                                          Amount Attributed to Sales Tax +
                                                          Vaccine Administration Fee. When
                                                          the Catastrophic Coverage Code =
                                                          'A', this field equals the portion of
                                                          Ingredient Cost Paid + Dispensing
                                                          Fee Paid + Total Amount
                                                          Attributed to Sales Tax + Vaccine
                                                          Administration Fee falling at or
                                                          below the OOP threshold. Any
                                                          remaining portion is reported in
                                                          GDCA. This amount increments
                                                          the Total Gross Covered Drug Cost
                                                          Accumulator amount.
33   GROSS DRUG COST ABOVE     240 - 247   S9(6)V99   8   Reports covered drug cost above
     OUT-OF-POCKET THRESHOLD                              the out of pocket threshold. Any
     (GDCA)                                               remaining portion of covered drug
                                                          cost is reported in GDCB. Covered
                                                          drug cost is the sum of Ingredient
                                                          Cost Paid + Dispensing Fee Paid +
                                                          Total Amount Attributed to Sales
                                                          Tax + Vaccine Administration Fee.
                                                          For DOS prior to January 1, 2011,
                                                          when the Catastrophic Coverage
                                                          Code = 'C', this field equals the sum
                                                          of Ingredient Cost Paid +
                                                          Dispensing Fee Paid + Total
                                                          Amount Attributed to Sales Tax +
                                                          Vaccine Administration Fee above
                                                          the OOP threshold. When the
                                                          Catastrophic Coverage Code = 'A',
                                                          this field equals the portion of
                                                          Ingredient Cost Paid + Dispensing
                                                          Fee Paid + Total Amount
                                                          Attributed to Sales Tax + Vaccine
                                                          Administration Fee falling above
                                                          the OOP threshold. Any remaining
                                                          portion is reported in GDCB. This
                                                          amount increments the Total Gross
                                                          Covered Drug Cost Accumulator
                                                          amount.



34   PATIENT PAY AMOUNT        248 - 255   S9(6)V99   8   Payments made by the beneficiary
                                                          or by family or friends at point of
                                                          sale. This amount increments the
                                                          True Out-of-Pocket Accumulator
                                                          amount.
35   OTHER TROOP AMOUNT        256 - 263   S9(6)V99   8   Other health insurance payments by
                                                          TrOOP-eligible other payers (e.g.
                                                          SPAPs). This field records all third
                                                          party payments that contribute to a
                                                          beneficiary's TrOOP except LICS,
                                                          Patient Pay Amount, and Reported
                                                          Gap Discount. This amount
                                                          increments the True Out-of-Pocket
                                                          Accumulator amount.
36   LOW INCOME COST SHARING   264 - 271   S9(6)V99   8   Amount the plan advanced at point-
     SUBSIDYAMOUNT (LICS)                                 of-sale due to a beneficiary's LI
                                                          status. This amount increments the
                                                          True Out-of-Pocket Accumulator
                                                          amount.

37   PATIENT LIABILITY         272 - 279   S9(6)V99   8   Amounts by which patient liability
     REDUCTION DUE TO OTHER                               is reduced due to payment by other
     PAYER AMOUNT (PLRO)                                  payers that are not TrOOP-eligible
                                                          and do not participate in Part D.
                                                          Examples of non-TrOOP-eligible
                                                          payers: group health plans,
                                                          governmental programs (e.g., VA,
                                                          TRICARE), Workers'
                                                          Compensation, Auto/No-
                                                          Fault/Liability Insurances.

38   COVERED D PLAN PAID       280 - 287   S9(6)V99   8   The net Medicare covered amount
     AMOUNT (CPP)                                         which the plan has paid for a Part D
                                                          covered drug under the Basic
                                                          benefit. Amounts paid for
                                                          supplemental drugs, supplemental
                                                          cost-sharing, and Over-the-Counter
                                                          drugs are excluded from this field.

39   NON COVERED PLAN PAID     288 - 295   S9(6)V99   8   The amount of plan payment for
     AMOUNT (NPP)                                         enhanced alternative benefits (cost
                                                          sharing fill-in and/or non-Part D
                                                          drugs). This dollar amount is
                                                          excluded from risk corridor
                                                          calculations.
40   ESTIMATED REBATE AT POS   296 - 303   S9(6)V99   8
                                                          The estimated amount of rebate that
                                                          the plan sponsor has elected to
                                                          apply to the negotiated price as a
                                                          reduction in the drug price made
                                                          available to the beneficiary at the
                                                          point of sale. This estimate should
                                                          reflect the rebate amount that the
                                                          plan sponsor reasonably expects to
                                                          receive from a pharmaceutical
                                                          manufacturer or other entity.

41   VACCINE ADMINISTRATION    304 - 311   S9(6)V99   8   The amount reported by a
     FEE                                                  pharmacy, physician, or provider to
                                                          cover the cost of administering a
                                                          vaccine, excluding the ingredient
                                                          cost and dispensing fee.
42   PRESCRIPTION ORIGIN CODE   312 - 312     X(1)     1    Required on PDEs with DOS
                                                            January 1, 2010 and forward. Valid
                                                            values are:
                                                            “1” = Written
                                                            “2” = Telephone
                                                            “3” = Electronic
                                                            “4” = Facsimile
                                                            On PDEs with DOS prior to
                                                            January 1, 2010, “0” = Not
                                                            Specified and blank are also
                                                            allowed.

43   DATE ORIGINAL CLAIM        313 - 320     9(8)     8    Date sponsor received original
     RECEIVED                                               claim. Required on PDEs with
                                                            DOS January 1, 2011 and forward.
                                                            On PDEs with DOS prior to
                                                            January 1, 2011, must be blank or
                                                            zeros. Required for all LI NET
                                                            PDEs submitted January 1, 2011
                                                            and after, regardless of DOS.

44   CLAIM ADJUDICATION BEGAN   321 - 346    X(26)     26   Date and time sponsor began
     TIMESTAMP                                              adjudicating the claim in
                                                            Greenwich Mean Time. Required
                                                            on PDEs with DOS January 1, 2011
                                                            and forward. On PDEs with DOS
                                                            prior to January 1, 2011, must be
                                                            blank or zeros.

45   TOTAL GROSS COVERED        347 - 355   S9(7)V99   9    Sum of beneficiary's covered drug
     DRUG COST ACCUMULATOR                                  costs for the benefit year known
                                                            immediately prior to adjudicating
                                                            the claim. Required on PDEs with
                                                            DOS January 1, 2011 and forward.
                                                            On PDEs with DOS prior to
                                                            January 1, 2011, must be blank or
                                                            zeros.
46   TRUE OUT-OF-POCKET         356 - 363   S9(6)V99   8    Sum of beneficiary's incurred costs
     ACCUMULATOR                                            (Patient Pay Amount, LICS, Other
                                                            TrOOP Amount, Reported Gap
                                                            Discount) for the benefit year
                                                            known immediately prior to
                                                            adjudicating the claim. Required
                                                            on PDEs with DOS January 1, 2011
                                                            and forward. On PDEs with DOS
                                                            prior to January 1, 2011, must be
                                                            blank or zeros.
47   BRAND/GENERIC CODE        364 - 364     X(1)     1   Plan reported value indicating
                                                          whether the plan adjudicated the
                                                          claim as a brand or generic drug.
                                                          B - Brand
                                                          G - Generic
                                                          Required on PDEs with DOS
                                                          January 1, 2011 and forward. On
                                                          PDEs with DOS prior to January 1,
                                                          2011, must be blank. Applies to
                                                          covered drugs only.

48   BEGINNING BENEFIT PHASE   365 - 365     X(1)     1   Plan-defined benefit phase in effect
                                                          immediately prior to the time the
                                                          sponsor began adjudicating the
                                                          individual claim being reported.
                                                          D - Deductible
                                                          N - Initial Coverage Period
                                                          G - Coverage Gap
                                                          C - Catastrophic
                                                          Required on PDEs with DOS
                                                          January 1, 2011 and forward. On
                                                          PDEs with DOS prior to January 1,
                                                          2011, must be blank. Applies to
                                                          covered drugs only.

49   ENDING BENEFIT PHASE      366 - 366     X(1)     1   Plan-defined benefit phase in effect
                                                          upon the sponsor completing
                                                          adjudication of the individual claim
                                                          being reported.
                                                          D - Deductible
                                                          N - Initial Coverage Period
                                                          G - Coverage Gap
                                                          C - Catastrophic
                                                          Required on PDEs with DOS
                                                          January 1, 2011 and forward. On
                                                          PDEs with DOS prior to January 1,
                                                          2011, must be blank. Applies to
                                                          covered drugs only.
50   REPORTED GAP DISCOUNT     367 - 374   S9(6)V99   8   The reported amount that sponsor
                                                          advanced at point of sale for the
                                                          Gap Discount for applicable drugs.
                                                          Required on PDEs with DOS
                                                          January 1, 2011 and forward. On
                                                          PDEs with DOS prior to January 1,
                                                          2011, must be blank or zeros. This
                                                          amount increments the True Out-of-
                                                          Pocket Accumulator amount.
51   TIER                    375 - 375     X(1)     1    Formulary tier in which the sponsor
                                                         adjudicated the claim. Values = 1-
                                                         6. Required on PDEs with DOS
                                                         January 1, 2011 and forward. On
                                                         PDEs with DOS prior to January 1,
                                                         2011, must be blank. Applies to
                                                         covered drugs only.

52   FORMULARY CODE          376 - 376     X(1)     1    Indicates if the drug is on the plan's
                                                         formulary.
                                                         F - Formulary
                                                         N - Non-Formulary
                                                         Required on PDEs with DOS
                                                         January 1, 2011 and forward. On
                                                         PDEs with DOS prior to January 1,
                                                         2011, must be blank. Applies to
                                                         covered drugs only.

53   GAP DISCOUNT PLAN       377 - 377     X(1)     1    For future use - values TBD. On
     OVERRIDE CODE                                       PDEs with DOS prior to January 1,
                                                         2011, must be blank. Valid value
                                                         must be blank.
54   FILLER                  378 - 407    X(30)     30   SPACES
55   CMS CALCULATED GAP      408 - 415   S9(6)V99   8    Amount calculated by CMS during
     DISCOUNT                                            on-line PDE editing based on data
                                                         reported in the PDE.

56   PBP OF RECORD           416 - 418     X(3)     3    PBP of Record assigned by CMS
                                                         during P2P Update Process.
                                                         Returned only when the PBP of
                                                         Record changes from the time the
                                                         PDE was processed and accepted
                                                         by CMS.

57   ALTERNATE SERVICE       419 - 420     X(2)     2    The Alternate Service Provider ID
     PROVIDER ID QUALIFIER                               Qualifier cross-referenced
                                                         by CMS to the Service
                                                         Provider ID submitted on the
                                                         PDE.
                                                         '01' - NPI (if Service Provider ID
                                                         Qualifer submitted on PDE is '07' -
                                                         NCPDP Provider ID)
                                                         '07' - NCPDP Provider ID (if the
                                                         Service Provider ID Qualifier
                                                         submitted on PDE is '01' - NPI)
58   ALTERNATE SERVICE        421 - 435   X(15)   15   The Alternate Service Provider ID
     PROVIDER ID                                       cross-referenced by CMS to the
                                                       Service Provider ID submitted on
                                                       the PDE. Corresponds to the
                                                       Alternate Service Provider ID
                                                       Qualifier.
59   ORIGINAL SUBMITTING      436 - 440   X(5)    5    Contract that submitted the
     CONTRACT                                          previously accepted PDE (in
                                                       conjunction with edit 784)
60   P2P CONTRACT OF RECORD   441 - 445   X(5)    5    Contract of Record for accepted
                                                       P2P PDES
61   CORRECTED HICN           446 - 465   X(20)   20   The beneficiary HICN has changed
                                                       according to CMS records.

62   ERROR COUNT              466 - 467   9(2)    2    Count of errors encountered during
                                                       processing
63   ERROR 1                  468 - 470   X(3)    3    First error encountered during
                                                       processing
64   ERROR 2                  471 - 473   X(3)    3    Second error encountered during
                                                       processing
65   ERROR 3                  474 - 476   X(3)    3    Third error encountered during
                                                       processing
66   ERROR 4                  477 - 479   X(3)    3    Fourth error encountered during
                                                       processing
67   ERROR 5                  480 - 482   X(3)    3    Fifth error encountered during
                                                       processing
68   ERROR 6                  483 - 485   X(3)    3    Sixth error encountered during
                                                       processing
69   ERROR 7                  486 - 488   X(3)    3    Seventh error encountered during
                                                       processing
70   ERROR 8                  489 - 491   X(3)    3    Eighth error encountered during
                                                       processing
71   ERROR 9                  492 - 494   X(3)    3    Ninth error encountered during
                                                       processing
72   ERROR 10                 495 - 497   X(3)    3    Tenth error encountered during
                                                       processing
73   EXCLUSION REASON CODE    498 - 500   X(3)    3    Subcategory reject code for an
                                                       NDC Error Code of 738 identified
                                                       in Errors 1-10.
74   FILLER                   501 - 512   X(12)   12   SPACES
FIELD
 NO. FIELD NAME                  POSITION   PICTURE   LENGTH   DEFINITION / VALUES
  1   RECORD ID                    1-3        X(3)       3     "BTR"
  2   SEQUENCE NO                  4-10       9(7)       7     Must match BHD. Must start
                                                               with 0000001.
 3   CONTRACT NO                  11-15       X(5)      5      Must match BHD
 4   PBP ID                       16-18       X(3)      3      Must match BHD
 5   DET RECORD TOTAL             19-25       9(7)      7      Total count of DET records
 6   DET ACCEPTED RECORD TOTAL    26-32       9(7)      7      Total count of ACC records as
                                                               determined by DDPS processing

 7   DET INFORMATIONAL RECORD     33-39       9(7)      7      Total count of INF records as
     TOTAL                                                     determined by DDPS processing

 8   DET REJECTED RECORD TOTAL    40-46       9(7)      7      Total count of REJ records as
                                                               determined by DDPS processing

 9   FILLER                       47-512     X(466)    466     SPACES
FIELD
 NO.    FIELD NAME                           POSITION PICTURE   LENGTH   DEFINITION / VALUES
  1     RECORD ID                               1-3      X(3)      3     "TLR"
  2     SUBMITTER ID                            4-9      X(6)      6     Must match HDR
  3     FILE ID                                10-19    X(10)     10     Must match HDR
  4     TLR BHD RECORD TOTAL                   20-28     9(9)      9     Total count of BHD records
  5     TLR DET RECORD TOTAL                   29-37     9(9)      9     Total count of DET records
  6     TLR DET ACCEPTED RECORD TOTAL          38-46     9(9)      9     Total count of ACC records as
                                                                         determined by DDPS processing

  7     TLR DET INFORMATIONAL RECORD TOTAL    47-55     9(9)      9      Total count of INF records as
                                                                         determined by DDPS processing

  8     TLR DET REJECTED RECORD TOTAL         56-64     9(9)      9      Total count of REJ records as
                                                                         determined by DDPS processing

  9     FILLER                                65-512   X(448)    448     SPACES

				
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